It wouldn't hurt to have it checked out. You can have AS and a heart attack.

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DonnaSuffering since a teenager.Dx with AS Dec 2009. Dx with ulcerative colitis 1998, both knees replaced 2006. GP said I had "some kind of inflammatory arthritis" 25 years ago. It has taken 50 years to get a Dx.

I have this all the time. For years I thought it was my heart and tried to ignore it. Then we had some recent deaths in our family (heart related) and I went in for some testing and was told I am ok. My cardio Dr. was familiar was AS and she knew what I was talking about. I go see her yearly now.

Yea, I had a severe costochondritis attack a couple of years ago, and the pain was incredible! Ended up in the emergency room, and had to deal with staff that thought I was a drug seeker. Was finally given morphine and was able to go home at midnight and get some sleep. I've had low-grade costo pain since then, but nothing as bad as that first attack. Hope you feel better soon!

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Psoriatic spondylitis, became severe within 3 years; on disability. Single, age 57. Failed Humira, Remicade, and methotrexate. Can't take NSAIDS or opioid pain meds. Also have adrenal insufficiency and thyroid issues.

Between costo and oesphageal spasm, sometimes I think it might even be easier if it WAS heart pain - at least you can take nitro for that. (and like others, I have been checked out negative by ER several times for it).